Patients come to contact lens wear with a multitude of refractive and lifestyle needs and with varying levels of tear film quality and ocular surface health. With age, hormonal and environmental changes, and even contact lens wear itself, conditions on the surface of the eye can shift. And even the most biocompatible contact lens can pose a challenge to the ocular surface, making it important to be watchful for even subtle indicators of ocular surface disturbance in contact lens wearers—current or prospective.

By Mile Brujic, OD

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